Re: AUDIO - Insomnia Linked to High Insulin Resistance in Diabetics

[Guest guest]

Thanks Don,

Everyone with Hep C should have periodic A1C tests done to check for insulin

resistance or diabetes. Both will affect treatment--and of course your quality

of life. My doctors did NOT do that until I actually had diabetes. Do we have

to explain everything to them????

I love my doc, but the nurse called to inform me that I have Hep C after I had

requested a viral load test be done. That was this year--I've only had it on

EVERY chart since 2000. Sometimes I wonder about medical care.

SuziQ

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> AUDIO - Insomnia Linked to High Insulin Resistance in Diabetics

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> In the largest study of its kind to establish a link between sleep and

diabetes, researchers found that people with diabetes who sleep poorly have

higher insulin resistance, and a harder time controlling the disease.

> The findings, published in the June issue of Diabetes Care, suggest that poor

sleep may contribute to worse outcomes in people with diabetes.

>

> " Poor sleep quality in people with diabetes was associated with worse control

of their blood glucose levels, " said Knutson, PhD, assistant professor

of medicine and lead author of the study. " People who have a hard time

controlling their blood glucose levels have a greater risk of complications.

They have a reduced quality of life. And, they have a reduced life expectancy. "

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> People with diabetes generally have poorer sleep than the general population,

and poor sleep has been proposed as a risk factor for developing the disease.

Sleep disorders, such as obstructive sleep apnea, are more prevalent in people

with type 2 diabetes, Knutson said.

> For the study, researchers monitored the sleep of 40 people with diabetes for

six nights. The subjects also reported if they generally suffered from symptoms

of sleep disturbances like insomnia, snoring or sleep apnea. At clinical

examinations, they gave blood samples to allow researchers to measure insulin

and glucose levels.

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> The subjects wore activity monitors on their wrists at night, which measure

their wrist movements throughout the night. Poor sleep, or insomnia, was

determined by both poor sleep quality based on the activity monitors and the

subject telling the researchers that they often had a hard time falling asleep

or woke up during the night.

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> Among the diabetics, poor sleepers had 23 percent higher blood glucose levels

in the morning, and 48 percent higher blood insulin levels. Using these numbers

to estimate a person's insulin resistance, the researchers found that poor

sleepers with diabetes had 82 percent higher insulin resistance than normal

sleepers with diabetes.

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> Knutson said the next step for researchers is to see if treating poor sleep

can improve long-term outcomes and quality of life for diabetics. " For someone

who already has diabetes, adding a sleep treatment intervention, whether it's

treating sleep apnea or treating insomnia, may be an additional help for them to

control their disease, " Knutson said.

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> In fact, restoring a healthy amount of sleep may be as powerful an

intervention as the drugs currently used to treat type 2 diabetes. " This

suggests that improving sleep quality in diabetics would have a similar

beneficial effect as the most commonly used anti-diabetes drugs, " said Eve Van

Cauter, PhD, professor of medicine and co-author of the study.

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> Further investigation into which leads to the other †" the chronic poor sleep

or chronic insulin resistance †" could improve the quality of life for people

with type 2 diabetes. " Anything that we can do to help people improve their

ability to control their glucose will help their lives in the long run, " Knutson

said.

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> Source: University of Chicago Medical Center Press Release

> Originally posted by DiabetesCare.net on May 19, 2011.

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> AUDIO

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